Organization
NISYJA CARES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICORIAH BENNETT (PARTNER)
(336) 255-3813
Entity
Organization
Contact information
Practice address
4450 BALSOM RD, PFAFFTOWN, NC 27040-8721
(336) 809-1039
Mailing address
4450 BALSOM RD, PFAFFTOWN, NC 27040-8722
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/19/2025
Last updated
04/06/2026
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